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Dave Smith and Richard Pozar shot a best-ball net 57 for the overall low net score and also won the third flight in the Butte Creek CC Spring Opener.
The favorites (or at least the ones I put my money on), Jim Mann and Jim Westcott, finished second overall and first in the second flight with a score of 60. Winning the first flight going away with a score of 62 was the team of John MacTavish and yours truly. Benny Walters and Curtis Avrit took second in the first flight with a score of 65.
Gary Bright and Royal Hawkley also came in with a net 65 to finish second in the second flight. Taking second in the third flight was the team of Ray Hobbs and Al Bouvet with a score of 65. Bill Rich won closest to the pin on No. 3 and Mann followed suit on No. 17. The horse race winners were Brian Jones and Scott Navarro; Bright and Hawkley; and Jim Gwyn and Phil Jones in each of the three flights.
The team of John Blackburn and Jim Palmer will represent the Lava Creek GC in the next level of qualifying of the NCGA Four-Ball Net Championship, albeit their win did not come easily. Their score of 55 tied the team of Stephenson Johnson and Kerry Kennedy and it took three playoff holes before Blackburn and Palmer finally prevailed. The team of Paul Derr and Al McGreehan and the team of Tom Mason and Tom Prue tied for third place.
A couple of Bidwell Park GC players shot their age recently. Sam Davis shot a nice round of 74 to shoot his age for the first time. Davis was playing in a group with Dick Dobkins, Ron Martinez, Les Perkins and Dan Vermette. A little later on the same day, Gene Parker posted a respectable 85 to shoot his age for the first time as well. His playing companions were Ken (not again) Jensen, Richard Pascoe and Don Cummings, who has probably lost count of the number of times he has shot his age.
The Canyon Oaks CC Women's Golf Club recently held an Age Bracket Tournament, but just to be on the safe side, I'll keep the age brackets confidential. Canyon Oaks bracket, low gross, Linda Allen; low net, June Park; Augusta Bracket, low gross, Nancy Vieira; low net, Sue Cumming; Pebble Beach Bracket, low gross, Ginny Wolf; low net, Pam Coleman. Closest to the pin winners: No.3 and No. 14, Wolf; No. 6, Park; No. 11, Vieira. Vieira was also overall low gross on the day with a score of 87.
The Table Mountain GC Women's Golf Club played a Putts Only tournament for its weekly outing. Low gross on the day was Janett Ott with a score of 89. Linda Ames shot the low net round of 69. In the putts category Sandy Goble was first with 28 putts, followed by Sonja Barnes (30) and Mary Haloski (33). Sue Snow took the closest to the pin prize.
Quip — A guy goes to the doctor for a checkup. Afterward, the doctor says, "I've got good news and bad news." The guy says, "Give me the bad news first, Doc." "You've got an incurable disease and probably won't live more than a year." "Geez, what could possible be the good news?" "I broke 80 yesterday."
Fact — Until 1938, a tournament player could use as many clubs as he could afford or his caddy could carry. But in that year, the USGA imposed a 14-club limit, and the R&A approved the same number the next year. These changes were made so that the best player could win, not the person with the largest supply of clubs for every possible situation.
Ed Anderson's local golf column appears Tuesdays. He can be reached by writing to P.O. Box 839, Chico, CA 95927, or by emailing to email@example.com.


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Need another reason to skip dessert? A new study found that consuming just 300 fewer calories each day can help protect your heart. And it's not just about losing weight (although shedding a few pounds could be an added bonus). In fact, people who are already lean and healthy can reap the same heart-health benefits by cutting calories as those with extra to burn.
Over the 2-year study, men and women who reduced their typical daily diet by just 215 to 300 calories experienced dramatic improvements in their heart health. In addition to other markers, they had better blood pressure, cholesterol, and blood sugar levels compared with those who didn't change their intake. This was true even when controlling for the expected health benefits of weight loss.
Considering that all these factors increase the risk for heart disease (ahem … the number one cause of death for men and women worldwide), that's pretty significant. Remember, the better your cardiovascular health, the more likely you are to live a longer life.
Think of cutting calories as a prescription for better heart health. After all, there's no medicine available today that can produce these results. You don't need to make a dramatic change to your diet to drop 300 calories. In fact, it can be easier than you think. Try these tips a few times a week:
Opt for a piece of fruit for dessert. (FYI: Just six Oreos add up to 300 calories.)
Cook at home instead of hitting the drive-through.
Say no to second helpings.
Swap higher calorie foods for lower ones. (Low-fat Greek yogurt tastes almost the same as sour cream at a fraction of the calories.)
Switch from whole milk to fat-free or 1%.
Skip the fancy coffee drink—or just order a small.

subset: commoncrawl


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Marshall Denning
2019-06-12 10:55:59
8 payment schemes
Jacko mentions there are 8 different payment schemes - do we know which?
Author: Adrew Jacopino
While deceptively simple, the benefits of Performance Based Contracts (PBCs) can be extremely difficult to deliver given the complexities and uncertainties that surround the practical application.
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Mennonitisches Missionskomitee für Paraguay (MMKfP)
The Mennonitisches Missionskomitee für Paraguay (MMKfP; Mennonite Missions Committee for Paraguay) committee, also known as the Comité Menonita de Acción Evangélica y Social en el Paraguay (Mennonite Committee for Social and Evangelical Action in Paraguay), was founded in 1963 by Mennonite congregations (General Conference Mennonite Church) of the following colonies, Volendam, Friesland, Neuland, Fernheim, and Menno and by the Asunción congregation. Also participating were the Evangelische Mennonitische Brüderschaft (EMB-related; Fellowship of Evangelical Bible Churches) of Fernhem and the Mennonite Church (MC) of North America.
The original committee consisted of the following members: Gerhard Schartner (Fernheim), Kornelius Dyck (Neuland), Bernhard Toews (Menno), and Bruno Epp as field secretary. The MMKfP assumed responsibility for the Indian mission in Menno Colony (Chaco mission) and missionary activity in Villa Hayes as well as in East Paraguay. It also related to the Centro de Salud Menonita, Kilometer 81, a hospital for victims of Hansen's disease (leprosy).
By 1987 14 congregations had been established, each with their own place of worship (Convención de las Iglesias Evangélicas Unidas). Membership was ca. 500. Four of these congregations had missionary leadership, the other ten were being served by national workers. Mission schools have been established by the MMKfP at two of these congregational centers.
See also Gemeindekomitee
Juhnke, James C. A People of Mission: A History of General Conference Mennonite Overseas Missions. Newton, KS: Faith and Life, 1979: 193.
Pannabecker, Samuel Floyd. Open Doors: History of the General Conference Mennonite Church. Newton, KS: Faith and Life, 1975: 242.
|Martin W. Friesen
|Kornelius Boschmann
|Date Published
Cite This Article
MLA style
Friesen, Martin W. and Kornelius Boschmann. "Mennonitisches Missionskomitee für Paraguay (MMKfP)." Global Anabaptist Mennonite Encyclopedia Online. 1987. Web. 30 Sep 2020. https://gameo.org/index.php?title=Mennonitisches_Missionskomitee_f%C3%BCr_Paraguay_(MMKfP)&oldid=89841.
APA style
Friesen, Martin W. and Kornelius Boschmann. (1987). Mennonitisches Missionskomitee für Paraguay (MMKfP). Global Anabaptist Mennonite Encyclopedia Online. Retrieved 30 September 2020, from https://gameo.org/index.php?title=Mennonitisches_Missionskomitee_f%C3%BCr_Paraguay_(MMKfP)&oldid=89841.
Adapted by permission of Herald Press, Harrisonburg, Virginia, from Mennonite Encyclopedia, Vol. 5, p. 578. All rights reserved.
©1996-2020 by the Global Anabaptist Mennonite Encyclopedia Online. All rights reserved.


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Using our SSO product you can login to Your Brightcove Gallery Site app with a single click.
miniOrange SSO provides ready solution for any mobile platform including iPhone, Android and delivers SSO with same ease-of-use as your personal computers. Users can sign in once and gain access into other mobile resources, including native mobile apps.
You login to one cloud app and you don't need to authenticate separately to the rest of them.
Click here to see our step by step guide for Single Sign on.
We offer Security Solutions of Single Sign-On, Two Factor Authentication, Fraud Prevention and much more.
Please call us at +1978 658 9387 (US), +91 77966 99612 (India) or email us at email@example.com


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VANCOUVER - Residents of a Vancouver apartment building, alerted by shouting and screams, locked their doors as a man stabbed people in what police believe was a completely random attack.
Seven residents and one police officer were injured in the highrise building in the city's West End during the attack Thursday night, and now Vancouver police have announced charges against the 33-year-old male suspect.
Charged with four counts of aggravated assault, four counts of assault with a weapon, three counts of common assault and one count of assaulting a police officer is Jerome Bonneric, said Sgt. Randy Fincham of the Vancouver police in a media release Friday night.
He said police believe Bonneric, who isn't known to them, was staying with a friend at the building, adding that Bonneric was arrested inside the building shortly after the attack.
"He was in the building before this started. They're looking today at why he was in there," said Fincham.
Police said the assailant went from floor to floor in the building attacking people in the hallways, apparently at random.
It is a "fairly significant crime scene and a lot of evidence to gather," Fincham said, adding that investigators are looking at whether mental health issues, drugs or alcohol may have played a role in the attack.
A resident of the building said he heard screaming shortly before 7 p.m. a few floors below his suite.
"I got out of my apartment to check what was going on in the courtyard and there was definitely a commotion. At this point we didn't really know the extent of the attack," said the man, who did not want his name published.
Police arrived and blocked off all the entrances, he said.
"(We) saw five people taken away on stretchers," he said. "I think at that point, when we saw them, it really hit us that this was serious."
There are children living on the ground floor, and he said he was relieved to find out none of them were harmed.
Police kept the building secured for some time, he said.
"After that we were just stuck there, some of our neighbours couldn't get into their units so we opened our doors for them to stay with us at least until they could get in," said the resident.
Another resident said she heard a commotion and thought a couple was fighting. Then she heard people running in the hallway outside her door.
"I didn't want to open the door. I didn't know what was happening," said the 61-year-old.
She gathered information from television and radio reports but had not spoken to police, through they remained in the building through the night.
Fincham said seven people were injured, six of whom were rushed to hospital with significant injuries.
One police officer was also treated at the scene for injuries suffered during the arrest.
Two victims remained in hospital late Friday night — one in stable and the other in very serious condition.
Bonneric will remain in custody until his next scheduled court appearance Monday at 9:30 a.m..
"We will be asking that he's not released back into the community," Fincham said.
Social media erupted Friday with discussion of the attacks, with many users expressing relief that the suspect did not have a gun. Fincham agreed.
"It appears this person used whatever tools he had access to, to do the damage that he did in that building," he said. "I'd hate to see how much damage would have been done if this person had access to a firearm."


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The Stanford Digital Repository (SDR) will be one of three November topics featured at Lane Medical Library's Open Everything Series. Mimi Calter, AUL and Chief of Staff; Tom Cramer, Chief Technology Strategist; and Amy Hodge, Science Data Librarian, will be speaking on Thursday November 8, 3-4:30pm at LK102 (map), about the SDR, options for depositing in the system, data preservation, future plans for data storage, and much more.
Other topics in this series include: Trends and Emerging Issues Related to Open Access, Open Data (November 6) and Learning in the Wild: What Open Learning Could Mean for Teaching (November 14).
For more specific information on each of the topics, visit the Open Knowledge website.
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user functions
Current Ithaca College community members may contribute stories and comments as well as view additional topics by logging in.
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Students can now request a preferred first name for many online resources
Contributed by Brian Scholten on 12/13/13
Effective Thursday, January 2, 2014, current students will be able to submit a request to the Office of the Registrar for a preferred first name to be used for many online resources at the college. If you request such a change, your preferred first name, rather than your legal first name, will appear in such places as class lists for faculty, in the myHome Community tab, and in myHome and Ithaca College web directory searches. It will also change how your name appears in other resources such as those used by the library and the Office of Public Safety.
Other resources, such as student employee records in Parnassus and official records maintained by the Office of the Registrar and Student Financial Services must continue to use your full, legal first name. The form to request a preferred first name may be downloaded here https://www.ithaca.edu/registrar/docs/studentforms/ or you may make your request in person at the Office of the Registrar.
© Copyright Ithaca College. All rights reserved; unauthorized use prohibited. All material on this server is produced by our community but, except for designated pages, is neither approved nor verified by Ithaca College.


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July 1st at 8:49am
Ryan Case has been a licensed Realtor with Coldwell Banker for the past five years, and has worked in the Real Estate industry since 2007. Ryan Brings ten years of experience to the team, and is adept at handling any transaction, regardless of property type or price point. Grateful to pursue his passion for a living, Ryan is highly motivated, determined and hands on with each sale from beginning to end. As an extremely dynamic individual, he promptly attends to his clients' needs, while executing transactions with elite professionalism. He doesn't take his responsibilities lightly, genuinely enjoys the time spent working with clients and strives to make each client's experience a positive one.
1825 Selby is a magnificent condo community that is located within minutes of stores, restaurants, services, and entertainment in Westwood, California. Built in 1998, the 1825 Selby building is comprised of 10 luxury units. This complex offers several floor plans that feature private balconies and large master bedrooms. Residents are attracted to 1825 Selby because of the impressive amenities, the beautiful views of the city, and the quiet neighborhood. It's also a short distance to freeway access, schools, beaches, Century City, Beverly Hills, UCLA, and the Westwood Village Memorial Park Cemetery. And you'll find lots of shopping at Westfield Village. This community offers garage parking, a storage area, and security.
[{"street_number":"1825", Westwood, CA 90025
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There are currently no available properties for sale at 1825 Selby. If you would like to be alerted via email when the next listing comes up for sale, simply fill in your contact information. With inventory being at historic lows across Westwood, this is a great way to ensure you remain a step ahead of other buyers looking to buy in this same complex.


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Like a lot of folks, I love to feel well informed. And the Internet has made it possible to be at least moderately well-informed about nearly anything. Put another way, it's harder than ever to ignore the news.
Five years ago, would you or I have known about strikes in Mali? Ten years ago, we would we be following the day-to-day health updates of a Venezuelan president?
Somebody would be, mostly like a subscriber to The Economist or some other international affairs publication. But not most of us, by any stretch of the imagination.
On balance, more news and information is a good thing. Knowing the details of other people's struggles and triumphs can lead to greater sense of empathy. It certainly puts own's own troubles in perspective.
On the other hand, we sometimes know too much. "Information overload" is a term that's been kicking around since at least the 1970s, starting with the Alvin Toffler book Future Shock.
In simple terms, info overload means that a person inundated with data has a harder time making decisions. Swinging at a fastball is hard enough; being pelted with them makes hitting even one just about impossible.
It took the Internet, though, to really crank up the information pitching machine. We know the morning temperature in Miami, the NASCAR finishes, how to make a decent steak on a grill, the market open and close (and every tick between), even minor tremors as they happen off the coast of Japan. Too much!
For investors, information overload often comes in the form of headlines.
That's because the Internet "news" game is a race for attention, however momentary. While you might think the supply of sentient readers out there is endless, it pales in comparison to the billions of web pages competing for them.
So, financial news that used to be an evening TV wrap-up of five or eight blue chips and an index has turned into a flood of data only specialists need to know. Here are five headlines from the web right now, from five different consumer news sites:
What do all of these stories have in common? It's easy. You don't need to read them. Seriously, you don't.
The reason why is time. These stories are about extremely short-term data releases, which tend to be revised — sometimes drastically. Or about single companies and their narrow events, information that might be relevant to one or two very large shareholders but almost nobody else. You truly can ignore the news.
You simply can't extrapolate an investing thesis out of any of this, nor should you try. Yet the constant drip of "news" can create the impression that you can and should take action.
A similar result occurs from watching your stocks on a web site or cellular phone. When markets rise, we get the artificial "up" feeling of winning, even though we haven't taken action to sell shares and, thus, to realize the gains.
The same thing happens when our investments fall in market price. We start to focus on our "losses" even though we haven't yet sold any positions, which would turn a paper loss into an actual loss of value.
In addition, the rise of exchange-traded funds (ETFs), while a major victory for small investors in terms of cost, also has made it possible to "play the index," trading in and out of the S&P 500 willy-nilly. It's pointless activity, yet somewhat reassuring to those who feel the need to act on the news they see and hear.
The simple, if difficult, advice is to ignore the news from the stock market, says former Yale investment board chairman Charley Ellis, author of the financial classic Winning the Loser's Game. You'll hear the same from passive investing pioneer Jack Bogle, founder of The Vanguard Group, who often says investors need to knock it off and stop trading so much.
Ignore the news and avoid trading. What could be easier? If you own a well-designed allocation of assets and rebalance when necessary, it is easy. Pretty soon, the minutiae of the daily financial news flow starts to appear as it really is — minutiae, unimportant in every way.


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Donkey Kong Junior (Arcade) review
"With all respects to Ms. Pac-Man, you've heard of Donkey Kong Junior because it is perhaps the first great sequel to advance the original concept, cleverly reworking the formula while at the same time feeling immediately familiar to dedicated Donkey Kong players."
Staff review by Winston Wolf (April 02, 2011)
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Though clean-cut and scholarly in bearing, James Gordon, MD, MPA, is an agitator of sorts. As director of the MGH Learning Laboratory, the veteran emergency-medicine physician is in the forefront of an effort to fundamentally change the way medicine is practiced and taught at Massachusetts General Hospital, an institution mindful of its reputation for world-class care and education.
The cause is simulation, a form of learning that doesn't involve encounters with real patients, long the centerpiece of medical education. Simulation aims to replicate such experiences with computerized mannequins, interactive video devices and intensive role playing. Dr. Gordon and like-minded colleagues envision medical and nursing students using it to learn basic skills and have their first experiences with typical scenarios. They hope experienced caregivers will regularly use the same tools to pick up new skills and stay sharp on those they know. "We're trying to catalyze a transformation in culture," Dr. Gordon says.
Advocates of simulation maintain it can improve patient safety, bolster the quality of care and enhance the consistency and efficiency of medical education. They also say it can help ratchet down the cost of care.
See One, Do One, Teach One
But one big challenge is persuading medical institutions already grappling with a host of economic and regulatory pressures to tackle such an overhaul. Another is convincing busy caregivers to buy in. Practice drills aren't part of the typical work week for experienced doctors and nurses. Moreover, the conventional way of learning medical procedures has been to see one, do one and then teach one — all with live patients. "But there have been a whole variety of things that have pushed us toward reconsidering the best approaches to medical education," Dr. Gordon says. "In part, we simply don't have the luxury of as many real-time teaching encounters as we used to."
Indeed, treatment innovations and tighter insurance restrictions have reduced the time patients spend in hospitals. Medical interns and residents are there less often as well thanks to new limits on their workweeks. Meanwhile, concerns about patient safety have been heightened by a host of factors including a 1999 Institute of Medicine study indicating that as many as 98,000 people die in U.S. hospitals each year as a result of preventable medical errors.
Opened in April, 2011, the MGH Learning Laboratory underscores Mass General's recognition of this fast-changing medical landscape as well as its determination to make simulation a key element of its response. "It's a big statement that the hospital leadership recognizes the current and future importance of simulation both for healthcare education and patient safety," says simulation pioneer Jeffrey Cooper, PhD, a senior biomedical engineer for the MGH Department of Anesthesia, Critical Care and Pain Medicine. Dr. Cooper is also founder and executive director of the Cambridge-based Center for Medical Simulation, launched in 1993 to provide related programs to Mass General and other Harvard-affiliated hospitals.
Manipulated Vital Signs
Medical mannequins have evolved dramatically since the early 1960s, when a relatively simple model was introduced for teaching cardiopulmonary resuscitation. Today's mannequins can breathe, bleed and speak. Fluids can pump through their blood vessels and, with a few computer keystrokes, their vital signs can be manipulated to replicate heart attacks and other critical events.
With many training exercises, designed to improve communication and teamwork skills, the technological capability of the mannequin is less important. In other situations, there is no mannequin at all. Surgeons can, for instance, practice their laparoscopic techniques using virtual reality trainers featuring surgical instruments connected to a computer monitor.
Nationwide, some institutions have consolidated their simulation offerings in newly built virtual training centers, often set apart from real hospital facilities. In contrast, Mass General aims to broaden the acceptance and use of simulation by providing both central and distributed resources in the heart of its campus. The Learning Lab is part of a flexible hub-and-spoke strategy designed to build upon the progress already made by a variety of specialized simulation initiatives.
Since 2001, for instance, MGH anesthesiologists completing their department's simulation program have received a break on insurance premiums. Meanwhile, the Knight Simulation Program, within the MGH Institute for Patient Care, offers programs for nurses and interdisciplinary teams that include nurses, physicians, pharmacists, respiratory therapists, chaplains and other medical professionals. "In my mind, it has really revolutionized the way clinicians are taught," says Brian French, RN, manager of the Knight program.
High-Tech Mannequin Drills
Critical care specialists at MassGeneral Hospital for Children regularly drill with high-tech mannequins in the same rooms where, at other times, they treat real children. Phoebe Yager, MD, program director, says staff members learn from mistakes and practice team responses to specific medical situations, some of which are rare in real life. "You can do it again, and do it again and do it again, safely," she says.
The Learning Lab was also established to complement, connect and support more specialized programs at the departmental level, explains Britain Nicholson, MD, senior vice president and chief medical officer, who serves as the Learning Lab's executive sponsor. "My experience has been that the more ownership there is at the local level, the greater the utilization of the programs and the more innovative the programs are," Dr. Nicholson says.
The lab is housed on the second floor of the Treadwell Library, a place where Mass General medical trainees and providers have gone for over a hundred years to gain knowledge. "How people acquire information has changed over the years — from print books and journals to dynamic online learning resources," says Elizabeth Schneider, Treadwell's director.
Designed for maximum flexibility, the laboratory's simulation ward can be reconfigured to portray a variety of environments. One recent morning, a military-clad mannequin with a gaping leg wound was awaiting demonstration in one bay. The adjacent one was set up to look like an emergency department.
A Cradle of the Simulation Movement
On the other side of the ward, third year Harvard medical students based at MGH for the year were performing basic tasks at stations manned by surgeons. At one, the students practiced sutures on a training block made of flesh-colored plastic and microfiber. At another, Emily Morell, of Oakland, Calif., used an ultrasound device to find the internal jugular of a medical mannequin in preparation for the insertion of a type of deep intravenous catheter. "I've never operated an ultrasound before," said Ms. Morell, who described the simulation experience as "a wonderful opportunity for us to practice in a non-threatening atmosphere."
Mass General is a cradle of the simulation movement. For more than 20 years, MGH faculty members have been introducing their peers to such training and developing tools to teach it. They have lobbied Congress for supportive legislation and helped other institutions launch their own programs.
MGH trailblazers include Dr. Cooper, the biomedical engineer, whose 1978 study of anesthesia-related errors sparked a nationwide effort to strengthen training and safety in the field of anesthesiology, an early adopter of simulation. In the 1980s, he created a program that helped fund efforts nationwide to develop more lifelike mannequins.
Steven Dawson, MD, an interventional radiologist, has been a simulation leader at MGH and the Center for Integration of Medicine & Innovative Technology (CIMIT), a consortium of Boston-area teaching hospitals and universities. During the 1990s, his team helped to develop a cardiac catheterization simulator now used worldwide. More recently, he and his group invented a fully portable, battery-operated synthetic human designed to provide combat medics with advanced training in the treatment of traumatic injuries such as penetrating wounds, traumatic amputations and life-threatening hemorrhage. No technician is needed to operate it.
Rudimentary Teaching Devices
When Dinesh G. Patel, MD, chief of Arthroscopic Surgery, was a medical student, knee surgery typically involved cutting through the skin and tissue surrounding the joint. The advent of arthroscopic surgery in the 1970s promised less invasive procedures but there were few tools to teach the new technique. Among other things, it required surgeons to develop the hand-eye coordination to watch a video monitor while performing delicate surgical maneuvers that they couldn't see directly.
After fashioning rudimentary teaching devices using bovine knees and common hardware, Dr. Patel persuaded manufacturers to develop more sophisticated simulation trainers and found space for Mass General students and doctors to use them. Such orthopaedic training has been going on at Mass General since 1983. These days, medical students, residents and fellows at Mass General can develop their arthroscopic skills, improve their hand-eye coordination and learn newer techniques on simulation models of different joints at the Dr. Dinesh G. Patel Arthroscopy Learning Laboratory. To eliminate medical errors and reduce costs, simulation "is the single most important thing that healthcare people can do," Dr. Patel says.
Dr. Gordon was unimpressed with the basic training mannequins he encountered while volunteering as an emergency medical technician as an undergraduate history major at Princeton. His perspective changed later while he was taking a continuing education course at the Harvard-Macy Institute in Boston. One day, he and some classmates were assigned to treat a more sophisticated mannequin, housed at the Center for Medical Simulation. It talked, blinked and had a heartbeat. "I knew this thing was plastic but I really felt like I was taking care of somebody," Dr. Gordon recalls.
The goal with simulation is to create enough realism, stress and challenge to leave participants with an indelible memory. Dr. Gordon maintains that, if pilots, firefighters and other high-risk professionals accept simulation practice as routine, doctors, nurses and other caregivers should be able to as well. If they do, Mass General will have to find the resources to keep up with increasing space and technology requirements and provide backup for staff taking part in simulation training. Philanthropic supporters can play a crucial role. "They can help make Mass General the first hospital in the world to fully incorporate routine simulation practice into its daily workings, on an unprecedented scale," Dr. Gordon says.
"Doc. You're Not Listening to Me!"
In the meantime, the Mass General Learning Lab is already having an impact on the likes of Andrew Bishara, a Harvard medical student who recently took part in a week of simulated surgical training. For one exercise, groups of three medical students were assigned to handle a series of emergencies.
Played out in a faux emergency-room bay, the scenarios were controlled by Marc de Moya, MD, a Mass General trauma surgeon who is also director of both the MGH Surgical Clerkship and the Surgical Simulation Program. Equipped with a microphone and a laptop, he sat behind a dark glass screen calling in lab results and providing the voices for simulated patients. They included a young man who had been shot twice and an elderly woman weary from a night of vomiting. Dr. de Moya provided students with analysis and advice after each scenario.
Mr. Bishara was in charge of treating "Harold," a 65-year-old bleeding from a head wound after falling from a ladder. With one eye on the vital signs fluctuating on the overhead monitor, Mr. Bishara asked his injured patient a few questions about how he was feeling. Harold interrupted him repeatedly by loudly recounting precisely how the ladder had slipped.
"Doc, you're not listening to me! Doc! Doc!"
Advised later that such confused repetition is not uncommon with head injuries, the medical student said he was grateful the learning experience had involved a mannequin. Not that he planned to forget it. "There is so much emotion involved," Mr. Bishara said. "You'll remember it for the rest of your life."


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General Dalbir Singh reviews a Gurkha guard of honour before handing over as army chief
By Ajai Shukla
Business Standard, 31st Dec 16
Lieutenant General Praveen Bakshi, who has been superseded by General Bipin Rawat as the chief of army staff (COAS) from the New Year, has announced he will continue in service.
Even as Gen Rawat was ceremonially taking over charge as army chief on Saturday morning in New Delhi, Bakshi personally addressed his staff at Headquarters Eastern Command in Kolkata, stating that he would extend his full support to Rawat.
Bakshi's address was relayed by videoconference to other headquarters under his jurisdiction.
Bakshi complimented all the men in Eastern Command for their commitment and service and urged them to join him in continuing their good work.
Following the government's announcement on December 17 that Rawat would succeed the outgoing chief, General Dalbir Singh Suhag, speculation had been rife that the two generals who Rawat would be superseding --- Bakshi and Lieutenant General PM Hariz who heads Southern Command --- would be resigning from service.
Defence ministry sources put out the rationale that Rawat, an infantry officer, had greater experience in handling counter-insurgency operations than Bakshi, who is from the armoured corps and well-versed in mechanised warfare.
It is an unwritten military tradition for senior generals to resign when a junior supersedes them for the post of army chief (though not for lesser posts). When General Arun Vaidya superseded his senior, Lieutenant General SK Sinha as COAS in 1983, Sinha promptly submitted his resignation.
In this case, however, Bakshi is understood to have been assured by Defence Minister Manohar Parrikar that the process was under way to appoint him as India's first tri-service commander, a post that would, at least nominally, place him senior to Rawat.
This assurance was apparently conveyed when Bakshi met Parrikar in his office on December 21.
Parrikar, as well as Prime Minister Narendra Modi, have publicly committed to appointing a tri-service commander.
Clearing this post has been a difficult process; with the Indian Administrative Service (IAS) bureaucracy steadfastly opposed the announcement of a five-star chief of defence staff (CDS), who would be senior even to the cabinet secretary, the top bureaucrat.
The compromise solution being worked through the system involves creating the four-star post of "permanent chairman chiefs of staff" (PCCOS), which the Naresh Chandra Task Force had proposed in 2013. This would be a fourth four-star general, in addition to the existing chiefs of the army, navy and air force. The PCCOS appointment would require cabinet clearance.
The PCCOS is spoken of as a "first amongst equals" with the three service chiefs. However, at least for the present, the three service chiefs would have clear fiefdoms while the PCCOS would only be a an upgraded version of the three-star officer who currently heads the Integrated Defence Staff, handling perspective planning, and tri-service issues of equipment and manpower structuring.
Appointing Bakshi as PCCOS would involve the delicate matter of leap-frogging him above Admiral Sunil Lanba, the current navy chief, who is senior to Bakshi. Lanba is currently the Chairman, Chiefs of Staff Committee, which includes the three service chiefs.
Furthermore, it is unclear what time lines the government is working on for clearing the appointment of the first PCCOS, or precisely what assurances have been given to Bakshi. Speaking on television on Friday, Parrikar stated that he would put up a proposal to the PM in January, who would then take a decision.
Bakshi is due to retire in the normal course in July 2017. In case the government is unable to clear the PCCOS post by then, it would fall to another officer.


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RPCV Lynn Minderman would appreciate donations of any of these items which she will carry with her on her trip to Lesotho in February. Items can be dropped off at Jeanette Gottlieb's home.
PCV Kevin Koryto, a math teacher at Qholaqhoe High School, needs calculators, rulers, protractors, pencils.
The 120 orphans in Likoting Village need jeans in good condition of any size.
Donations toward school uniforms and shoes are also greatly appreciated.
All donations are tax exempt and an acknowledgment card will be sent.
Visit http://www.qmconnect.org/ for more info on Lynn's work with the orphanage.
Email Lynn at email@example.com.


text:
Wolfganzen (Haut-Rhin, Alsace, France)
Wolfganzen, a village in Alsace, located about one mile northwest of Neuf-Brisach and 8 miles southeast of Colmar (coordinates: 48° 2′ 0″ N, 7° 31′ 0″ E); in 1909-1923 it was the seat of the Mennonite congregation which had earlier been called by various names (including Colmar and Muntzenheim, and which furnished the members for the two modern congregations of Colmar, formed 1920-22, and Neuf-Brisach, formed about the same time. The congregation met in an unoccupied school in the village until World War I, when the building was taken over for military purposes and the village made the town hall available. The elder was Benjamin Peterschmitt, who served 1891-1932, continuing at Neuf-Brisach after the congregation was formed. The membership of Wolfganzen was some 130.
Map:Wolfganzen (Haut-Rhin, Alsace, France)
|Harold S Bender
|Date Published
Cite This Article
MLA style
Bender, Harold S. "Wolfganzen (Haut-Rhin, Alsace, France)." Global Anabaptist Mennonite Encyclopedia Online. 1959. Web. 27 Sep 2020. https://gameo.org/index.php?title=Wolfganzen_(Haut-Rhin,_Alsace,_France)&oldid=86216.
APA style
Bender, Harold S. (1959). Wolfganzen (Haut-Rhin, Alsace, France). Global Anabaptist Mennonite Encyclopedia Online. Retrieved 27 September 2020, from https://gameo.org/index.php?title=Wolfganzen_(Haut-Rhin,_Alsace,_France)&oldid=86216.
Adapted by permission of Herald Press, Harrisonburg, Virginia, from Mennonite Encyclopedia, Vol. 4, p. 970. All rights reserved.
©1996-2020 by the Global Anabaptist Mennonite Encyclopedia Online. All rights reserved.


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Eckankar around the World
At Eckankar centers and study groups around the world, you will find people who share your desire for truth and who have had spiritual experiences like you.
- Eckankar in Your Area: The regional Web sites listed below can help you find Eckankar groups and activities near you. Use the links at right to jump to your part of the world. Sites marked with a gold bullet (•) may offer online ECK book discussion classes.
- Eckankar on TV: The teachings of ECK have been passed down for ages through the ECK Masters. Harold Klemp is the spiritual leader of Eckankar, known as the Mahanta, the Living ECK Master. His talks are broadcast in many regions. (Check your local listings or visit Eckankar on TV for broadcast information, or explore the regional ECK Web sites below.)
- Eckankar Books at Your Local Library: Eckankar books are available at libraries throughout the United States and in some other countries as well. Do an author search for Harold Klemp or Paul Twitchell at your local library. You can ask your librarian to help you find books by these authors via an author search of their interlibrary loan service or the WorldCat database.
Eckankar in Your Area
Regional ECK Web sites are sponsored by affiliates of Eckankar around the world.
If your area is not listed here, look for Eckankar in your phone book. Or contact us for local contact information.
United States
Bénin, Burkina Faso, Mali, Niger
Australia and Oceania
Queensland & Northern Territory
Victoria, Tasmania, and South Australia
Latin America and Caribbean
Links to other sites:
The regional ECK Web sites listed above are maintained by affiliates of Eckankar around the world, and they are responsible for their availability and content.


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In my ranting, I forgot to publish my latest courtroom creation. It follows.
Jail, jail, jail
You ain't got no bail
They put you on probation
But you just had to fail
Life deviation
Do as you're told
Or society vacation
The Big House, The Castle, The Slammer or The Penn
The Gray Bar Hotel and The Okaloosa Hilton
The color of your jumpsuit
Depending on your scene
Orange, blue, red, yellow
Crazy? Then it's green
I'm forced to write a closing to my cacaphonic verse
Although my pen's intention was to make your stomach burst
If I failed to meet success before the bitter end
Love Court happens once a month so something better then.
I never said it was a good creation.
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text:
ST. LOUIS, Oct. 12 (UPI) -- Michael Wacha and four relievers combined on a five-hit shutout Saturday and St. Louis grabbed a 2-0 NLCS lead with a 1-0 win over the Los Angeles Dodgers.
Wacha (1-0), who pitched a near-no-hitter in Game 4 of the National League Division Series against Pittsburgh, scattered five hits over 6 2/3 scoreless innings, walking one and striking out eight.
Kevin Siegrist, Randy Choate and Carlos Martinez combined for 1 1/3 shutout relief innings and Trevor Rosenthal struck out the side in the ninth for his first save of the series as the Cardinals shut down the injury-depleted Dodgers line-up.
St. Louis got its only run in the fifth inning when David Freese led off with a double against Clayton Kershaw, went to third on a passed ball and one out later scored on a Jon Jay sacrifice fly.
Kershaw (0-1) allowed just the one unearned run over two hits over six innings, yielding one walk and striking out five.
Star rookie outfielder Yasiel Puig struck out four times for the Dodgers, who were playing without outfielder Andre Ethier (sore ankle) and shortstop Hanley Ramirez (bruised ribs).
Los Angeles will host Monday's Game 3.


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Raspberry Butter Braids
Looking for an eye-catching sweet bread to give as a gift? With tender, raspberry-filled layers, this lovely, two-loaf recipe is sure to impress.—Robin Stout, Amherstview, Ontario
Total TimePrep: 1 hour + rising Bake: 20 min.
Makes2 loaves (15 slices each)
- 1 package (1/4 ounce) active dry yeast
- 1/4 cup warm water (110° to 115°)
- 1 cup warm 2% milk (110° to 115°)
- 1/2 cup butter, cubed
- 1/2 cup sugar
- 1 egg
- 1/2 teaspoon salt
- 4 to 4-1/2 cups all-purpose flour
- 3/4 cup seedless raspberry jam
- 1 egg
- 2 tablespoons water
- 1-1/4 cups confectioners' sugar
- 1/4 cup butter, melted
- 1/2 teaspoon vanilla extract
- 2 to 3 teaspoons water
- In a large bowl, dissolve yeast in warm water. Add milk, butter, sugar, egg, salt and 2 cups flour; beat until smooth. Add enough remaining flour to form a soft dough.
- Turn onto a floured surface; knead until smooth and elastic, about 6-8 minutes. Place in a greased bowl, turning once to grease the top. Cover and let rise in a warm place until doubled, about 1 hour.
- Punch dough down. Turn onto a lightly floured surface; divide dough in half. On greased baking sheets, roll each portion into a 14x12-in. rectangle. Cut each rectangle into three 14x4-in. strips. Spoon 2 tablespoons jam down the center of each strip. Bring long edges together over filling; pinch to seal. Braid three strips together; pinch ends to seal and tuck under. Repeat with the remaining strips. Cover and let rise until doubled, about 45 minutes.
- Preheat oven to 350°. Beat egg and water; brush over loaves. Bake 20-25 minutes or until golden brown. Transfer to wire racks.
- For glaze, combine confectioners' sugar, butter, vanilla and enough water to achieve desired consistency. Brush over warm loaves.
Nutrition Facts1 slice: 163 calories, 5g fat (3g saturated fat), 27mg cholesterol, 81mg sodium, 27g carbohydrate (13g sugars, 0 fiber), 3g protein.
Every product is independently selected by our editors. If you buy something through our links, we may earn an affiliate commission.
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Dec 28, 2012
No comment left
Dec 6, 2012
I made this yesterday, I will be making it again. It is delicious..I was bad and did add a thin layer of cream cheese mixed with some sugar before I put the raspberry jam on....This recipe passed my test and I will be making more for Christmas Goody GiveAways..My Husband is not big on Sweets,however, He loved this and is taking 1 of the loaves to work to share..Happy Baking!!!!


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We do our absolute best to source all our materials domestically and everything is manufactured and shipped from Glen Burnie, Maryland.
When you call us with questions or to check on or make a change to an order, the person who answers the phone is very likely to have played a role in the production of your bed and there's a good chance they'll be the one to ship it.
We believe that the best customer service comes from a deep understanding of our product. That's why everyone at Kuranda is or has been involved in production, shipping and customer service. This is how we are able to constantly evolve our products based on customer needs and it's how we can help you find the best bed for your dog.
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text:
In this first cartoon El Universal's Rayma explains us the Chavez debating method, and why as a consequence he is licking his wounds.
This second cartoon is to illustrate what are the "debates" inside of chavismo, with an allusion of Chavez ignorance of the Islam extremism inserted when he defends Iran or other assorted extremist regimes from that corner of the world.
Where are you going so smartly dressed?
To the government forum on freedom of expression.
Note: at the last minute chavismo tried to do a counter forum to CEDICE which was basically a street show.
-The end-


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|This is the article on the puppets modelled after Sasori's parents. For the parents of Sasori, head to Sasori's parents.
Mother (母, Haha) and Father (父, Chichi) were the first two puppets Sasori ever created, modelled after his real mother and father, who were killed by Sakumo Hatake during a war.
Losing his parents to Sakumo at an early age, Sasori became forever plagued with the melancholic loneliness of lacking parental love. When his grandmother, Chiyo, introduced him to the Puppet Technique in hopes of cheering him up, Sasori went and created the Mother and Father puppets in an attempt to simulate the parental love he so richly desired. The empty and lifeless puppets could not fulfil that purpose, and a disillusioned Sasori eventually discarded them when he left Sunagakure. With his departure, the puppets came into the possession of Chiyo, who modified them for combat purposes.
During Chiyo's battle with Sasori many years later, Chiyo uses the puppets against Sasori, although he easily disables both with the Third Kazekage puppet's Iron Sand. After the Third Kazekage was destroyed and the Iron Sand's hindrance was nullified, Chiyo uses the puppets to stab Sasori through his core in the form of a hug, allowing him to be close to them in death as he couldn't be in life.
While Sasori's soul was being released from the Summoning: Impure World Reincarnation technique upon learning that they and his remaining creations actually had immortalised him, Sasori handed down his Mother and Father puppets to Kankurō, and asked that he entrust them to future generations as well.[1] In the anime, Kankurō employed those puppets against a reincarnated Chiyo, having recovered them at the occasion when he procured the Sasori puppet.[2]
Originally built to comfort himself from his loneliness, Sasori did not install any weapons or combat capabilities in the two puppets. After he abandoned them, Chiyo eventually made several modifications to the puppets, such as adding weapons, so that they could be used in battle. Both have a chakra shield installed in their arms, as well as razor wires that they link together with their fingers for cutting. The Mother puppet wields a serrated katana, while the Father puppet wields a segmented wooden whip covered with kunai. In the anime, Kankurō further modified the puppets, adding a cable, just like the Sasori puppet's, to both puppets.[2]
- In Naruto video games, the puppets are commonly used as Chiyo's main method of attack.


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NEW BEDFORD — A government-funded fiber optic network that runs from Provincetown to Providence and is designed to increase the number of Internet options and improve cellphone service will be completed early next year.
NEW BEDFORD — A government-funded fiber optic network that runs from Provincetown to Providence and is designed to increase the number of Internet options and improve cellphone service will be completed early next year.
Unlike existing fiber optic networks, which are controlled by the telecommunications companies that built them, any private, nonprofit or government service provider will be able to pay to use the 350-mile OpenCape infrastructure.
"We're different from any other provider because we have an open network," said OpenCape CEO Dan Vortherms. "We provide a platform that somebody else can use to launch that kind of a service or we can evaluate that ourselves."
Vortherms' hope is that OpenCape's presence will disrupt the area's telecommunications market, where major providers such as Comcast dominate, but many pieces will have to fall into place before consumers see the benefits.
"I was shocked to come here and find a single provider of broadband connectivity," said Vortherms, who took over as CEO in October. "To me, it's all about long-term economic opportunity for the Cape and, to further break that down, it's really driving additional competition for additional services."
The network, which is funded by a $32 million federal stimulus grant and $8 million in state contributions, was supposed to finish in January. Construction is behind schedule due in part to crews being called off to help repair damage from Hurricane Sandy, Vortherms said.
Once complete, the path of the network will link to about 70 "anchor" institutions, mostly libraries and schools on the Cape, Vortherms said. OpenCape is waiting for approval from the federal government to add another 35 institutions to that list, he said.
None of those institutions has yet contracted with CapeNet, the private company that is operating the network, Vortherms said.
Private homes and businesses do not currently have a way to access the network, but Open Cape representatives said they are confident that private companies will come forward to build additional "last mile" connections. No deals have been signed yet, they said.
"There's a lot of small service providers in the area already and we've been so focused on getting the network built that we haven't had a lot of communication with them," Vortherms said. "Clearly Open Cape itself is going to be looking to say 'OK, what do we want to do next?' ourselves."
OpenCape's network will offer speeds of 10 to 100 megabits per second, with the capacity for upgrades, Vortherms said, adding that OpenCape will likely target businesses as it tries to get subscribers. In comparison, the company that covers most of the area in question, Comcast, offers speeds of 15 to 305 megabits per second for residences and up to 10 gigabits for businesses.
"Consumers and businesses choose Comcast because of our innovative services, which are backed by the Comcast customer guarantee and our commitment to providing a superior customer experience," said Comcast spokesman Marc Goodman.


text:
Apple is supposedly holding a media event next week. Yesterday, it was reported that the 13-inch Retina MacBook Pro will be launched alongside the iPad mini this month. Today, AllThingsD reports with its own sources making similar claims. AllThingsD has an excellent track record when it comes to Apple rumors.
The smaller iPad may be the star of Apple's as of yet unannounced October 23rd invitation-only event, but it will have an impressive supporting cast.
Sources familiar with Apple's plans tell AllThingsD that the company plans to unveil a smaller version of its MacBook Pro with Retina Display as well.
The report provides a summary of the expectation for the new machine, which include a 2560×1600 display, same thin profile as the 15-inch model, and all-flash storage. However, pricing remains unknown. Earlier this year, Apple introduced the 15″ Retina MacBook Pro in June, but still kept the existing 15″ MacBook Pro as well. Going by this, we can expect Apple to continue the same pattern by providing two 13″ MacBook Pros — one with a Retina display and one without.


text:
Read on to find out more...
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text:
Attention deficit hyperactivity disorder (ADHD) is a condition that begins in early childhood with symptoms of inattention, impulsivity, hyperactivity and/or the inability to control one's own behavior. ADHD affects between 3 and 5 percent of children, or approximately 2 million children in the United States. Children with ADHD may have difficulty at school, at home and in social settings. Between 30 and 70 percent of children with ADHD have symptoms that persist into adulthood.
The most common characteristics of those with ADHD include:
- Poor attention; excessive distractibility
- Physical restlessness or hyperactivity
- Excessive impulsivity; saying or doing things without thinking
- Excessive and chronic procrastination
- Difficulty getting started on tasks
- Difficulty completing tasks
- Frequently losing things
- Poor organization, planning, and time management skills
- Excessive forgetfulness
Not everyone with ADHD has all of these symptoms or the same level of impairment from their symptoms.
What Causes ADHD?
The cause of ADHD is not known, and there are no clear physical markers. Because almost every child can be hyperactive, inattentive or impulsive at times, ADHD is difficult to diagnose and a sometimes controversial healthcare issue. However, most experts agree that ADHD is a real condition and that children with ADHD can be distinguished from children who are occasionally hyperactive or inattentive because those with ADHD exhibit their symptoms at an early age and to a marked and persistent degree.
What Factors Increase My Risk of Getting ADHD?
Medical experts believe ADHD has physical causes in the structure of the brain and nervous system and is not brought on by child-rearing practices or social factors. Because the physical pathology of ADHD is not known, few clear risk factors have been defined; however, studies have suggested a possible link between ADHD and:
- Genetics: ADHD runs in families, and studies have shown that 25 percent of the close relatives of children with ADHD also have ADHD, compared to about 5 percent in the general population. Research to identify the gene or genes involved in ADHD is ongoing.
- Suspected environmental agents: Some studies point to a correlation between smoking and alcohol use during pregnancy and increased risk for ADHD in the child. Other studies have found that high lead levels in the body may contribute to ADHD.
- Brain injury: Studies have shown that some children who have suffered brain injuries exhibit behavior similar to that of ADHD; however, only a small percentage of children with ADHD have documented brain injuries.
- Dietary factors: Infant malnutrition is a strong risk factor for ADHD. Even a child who gets sufficient nutrition later in life may develop ADHD as a result of malnutrition in infancy.
Is There a Laboratory Test to Diagnose ADHD?
Unfortunately, there is no lab test currently available to easily diagnose ADHD. An ADHD diagnosis is based primarily on the degree and persistence of the child's behaviors. ADHD is suspected when those behaviors occur to a degree that is unusual and inappropriate and negatively impacts the child's life at school, at home and in social situations.
An ADHD diagnosis is made by a trained clinician after an extensive evaluation and physical examination rules out other possible causes for the symptoms, and a thorough series of interviews with the child, parents, spouse or teachers is conducted. ADHD experts include child psychiatrists, some pediatricians, a behavioral neurologist or possibly a clinical social worker trained to recognize ADHD.
If other causes can be ruled out, the child's behavior is evaluated in accordance with the diagnostic criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM), which lists specific behaviors that classify the condition as ADHD. According to DSM, symptoms of ADHD must occur in at least two different settings and must impair functioning at school, home, work or in other social settings, and the behaviors must appear before age 7 and persist for at least 6 months.
Is ADHD the Same Thing As ADD?
ADD, or attention deficit disorder, is a type of ADHD. Depending on symptoms, three types of ADHD have been identified:
Predominantly Inattentive Type ADHD is also sometimes called attention deficit disorder (ADD). A child with this type of ADHD is bored easily and cannot keep his or her mind focused on anything (an exception may be made for enjoyable things). Schoolwork is especially difficult for the child with this type of ADHD. Hyperactivity and impulsivity are mild in this type. He or she is:
- Easily distracted by sounds or things happening nearby
- Unable to pay attention to or follow instructions, complete detailed tasks and prone to mistakes
- Prone to losing or forgetting things, like school assignments and books
- Unable to complete one activity before moving to another
Predominantly Hyperactive-Impulsive Type ADHD is ADHD in which a child always seems to be in high gear and can't sit still or stay quiet. These children can usually pay attention, but cannot sit still or tone down their activity level. They may:
- Fidget and squirm in their chairs
- Leave their seats in class at inappropriate times
- Run around in the classroom, in a store or at other inappropriate times
- Talk excessively and blurt out comments
- Can't wait their turn in line
Combined Type ADHD has elements of both behaviors. Children in this category exhibit symptoms of inattention as well as hyperactivity and impulsivity. This is the so-called "classic" form of ADHD.
How Does ADHD Progress If Left Untreated?
By definition, ADHD onset occurs in a child under 7 years of age. The symptoms tend to appear gradually over many months. The child may initially exhibit impulsive and hyperactive behavior and go on to develop inattention. These symptoms can have a severe impact on the child in an important stage of life. In some children, ADHD symptoms may wane as they mature, but the damage will have been done in the formative years of school and social development. About 80 percent of ADHD children will still need medication for ADHD as teenagers, and greater than half will need medication as adults.
Can Adults Get ADHD?
ADHD is a lifelong condition, and although some people are diagnosed with ADHD as adults, it is likely that they had undiagnosed ADHD as a child. Researchers have developed clinical criteria for the diagnosis of adult ADHD that looks at past ADHD history and current persistent behaviors. Although the symptoms of adult ADHD are not as extreme as with children, the adult's inability to focus can be a bigger challenge in work and social situations. For adults, ADHD may be marked by an inability to get life organized, to show up for appointments or to keep a job. To diagnose ADHD in an adult, an extensive evaluation must be conducted to rule out other psychiatric conditions.
How Is ADHD Treated?
ADHD is most commonly treated with counseling and medication. In 1999, the National Institute of Mental Health (NIMH) published results of a study that found that medication alone or a combination of medication and behavioral counseling were both more effective ADHD treatments than counseling alone. The study also found that combined treatment was usually more effective in reducing anxiety, improving school performance and supporting the parent-child relationship, and also required lower medication doses than the medication-only approach.
Some treatments will work well with one child and not with another. Physicians usually try different medications and dosages until the child's symptoms improve. Parents should be attentive to their child's response to treatment and work with the prescribing physician to find the right medication and dosage.
What Medications Are Used to Treat ADHD?
Many medications are available to treat ADHD. They work by affecting the way the brain transmits signals, thereby improving a person''s ability to pay attention. The most common types of drugs prescribed for ADHD include:
ADHD medications include:
Stimulants: Stimulant medications are the standard first-line treatment for children with ADHD; they include amphetamine, dextroamphetamine, lisdexamfetamine, and methylphenidate. These drugs stimulate the production of the neurotransmitter dopamine, which is thought to play a role in brain functioning and self-control. The stimulants come in long-, short- and sustained-release forms that can last through the school day.
Stimulant side effects are generally considered minor and include decreased appetite, insomnia, anxiety and irritability. Side effects are usually related to the amount of medication taken, with higher doses causing more side effects.
Non-stimulants: The only non-stimulant medication currently approved for first-line ADHD treatment by the U.S. Food and Drug Administration (FDA) is Strattera, or atomoxetine. Instead of stimulating dopamine, atomoxetine increases the production of the neurotransmitter norepinephrine. Strattera is approved for use in adults, adolescents and children over age 6. It is the only FDA-approved ADHD treatment that is not controlled under the United States Controlled Substances Act.
Anti-depressants: Though not FDA-approved for ADHD, anti-depressants, including Wellbutrin (bupropion hydrochloride) and tricyclics such as Norpramin and Pertofrane (desipramine), and Tofranil (imipramine), are sometimes used as second-line treatments when multiple stimulants have not been effective, are contraindicated or cause severe side effects.
Where Can I Get Information on Living Well with ADHD?
You can find the latest news about ADHD research on Everyday Health and from non-profit and government-sponsored Web sites and research centers such as those listed here:
- ADHD Center
- ADHD Resources
- Children and Adults with Attention-Deficit Disorder (CHADD)
- Attention-Deficit Disorder Association (ADDA)
- MedlinePlus ADHD


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Land Rover Discovery celebrates 25 years with limited edition model
Due to go on sale at the end of 2014, the exclusive SUV gets a bespoke paint finish and leather interior and will be making its debut at the Geneva Motor Show.
However, to whet potential buyers' appetites before the show gets underway, Land Rover has released a couple of images and some details ahead of the big reveal.
The XXV will be finished in Causeway Grey, with a Narvik Black grille surround and mirror caps. It will also get full-length silver roof rails plus stainless steel tread plates. The car will sit on specially designed 20-inch five-split-spoke forged alloy wheels in a light polished-silver finish.
Inside, the car's specifications will be based on the HSE Luxury model but will take things up a notch. This means lashings of Windsor leather, even on the instrument panel and steering wheel. Prospective owners will also want to make sure that, no matter where this off-roader takes the family, when they get back in the car their feet are clean so as not to dirty the twist pile carpets.
Now in its fourth iteration, the Disco, as it is affectionately known, has been a huge success and has clocked up sales of over 1 million since 1989 when the first 3-door version rolled off the production line in the UK.
Conceived to compete with a growing influx of affordable Japanese mid-sized SUVs that were rolling into Europe and the US, legend has it that a cash-strapped Land Rover took the car from the drawing board to reality in just a handful of months, robbing Rover part bins of old door handles, light fittings and panels in order to build something to compete in double-quick time that wouldn't cannibalize sales of the flagship Range Rover.
The latest version is a premium family off-roader in its own right and all it shares with other cars are a number of cutting-edge four-wheel-drive and other SUV technologies from the Range Rover and Range Rover Sport. But that's a good thing.
The Discovery XXV will go on sale in limited numbers towards the end of 2014 and is expected to cost around $100,000.


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Jan 7, 2013, 9:38 am
53 comments
Urooj Khan had sworn off playing the lottery after he took an Islamic pilgrimage to the Middle East in 2010, but as he stood in a 7-Eleven near his home on Chicago's Far North Side this summer, he lost his will for a moment, handing over $60 to buy two instant-game tickets.
After scratching off the second ticket, he leaped in the air, shouting over and over again, "I hit a million!"
When Khan, 46, accepted an oversized check from Illinois Lottery representatives days later at the same store with his wife and teenage daughter at his side, he spoke excitedly of how the winnings would help him grow his dry-cleaning business.
Instead, Khan is dead, a victim of an extraordinary poisoning, and police have a mystery on their hands: Did his lottery winnings create a motive for murder?
The month after winning the million dollars, Khan died unexpectedly on July 20. Finding no trauma to his body and no unusual substances such as cocaine or carbon monoxide in his blood, the Cook County medical examiner's office declared his death to be from natural causes. He was buried at Rosehill Cemetery.
But Chicago police and county prosecutors are investigating Khan's death as a homicide.
In an interview, Medical Examiner Stephen J. Cina said that within a week of Khan's death a concerned relative asked his office to take a closer look at the case.
By early December, the medical examiner's office determined from comprehensive toxicology tests that Khan had died of a lethal amount of cyanide.
Now authorities are considering exhuming his body to try to find out how much cyanide he ingested or inhaled, Cina disclosed.
While a motive has not been determined yet, police haven't ruled out that Khan was killed because of his big lottery win, a law enforcement source said.
Preliminary data from Chicago police show that in a violent 2012 — with 506 people slain, the most since 2008 — Khan was the only known homicide victim to be poisoned.
According to an internal police department document, Khan came home from work to his West Rogers Park residence on the night he died. He ate dinner about an hour later and eventually went to bed. He was later heard screaming and was taken to St. Francis Hospital in Evanston, where he was pronounced dead, the document said.
His wife and daughter were home when Khan was stricken, according to Cina.
Interviewed last week while working at one of three dry cleaners her husband owned, Khan's widow, Shabana Ansari, declined to talk about the homicide investigation other than to say she has spoken to police.
Married to Khan for 12 years, she praised him as "extraordinary, nice, kind and lovable."
He was "the best husband on the entire planet," said Ansari, 32.
A native of India, Khan came to Chicago in the late 1980s and began working at a dry cleaners. He saved up enough money to rent property on a stretch of West Rogers Park known for its Indian and Pakistani restaurants, bakeries and bazaars, opening the Style Dry Cleaners on Devon Avenue in 2004.
Khan later opened locations on nearby Western Avenue and another in the Edgewater neighborhood. He ran the day-to-day operations at all three shops, supervising about 10 employees. If a worker called in sick, he often handled the cleaning and delivery duties as well.
"By God's grace, he was a workaholic," his widow said. "Day or night ... he picks up the phone 24/7. He made the clients happy by doing his job. He could not be everywhere, but he had to be everywhere."
He also dabbled in real estate, renting out five condominiums he owned.
Over the years, Khan enjoyed occasionally buying lottery tickets. But after he made hajj, the once-in-a-lifetime pilgrimage to Saudi Arabia required of all able Muslims, he tried to give up gambling to live a more virtuous life. Last June, when Khan stopped at the 7-Eleven, he even told the clerk, Ashur Oshana, about the vow.
But then he changed his mind and bought the two tickets, the clerk said last week while working at the same store. Moments later, Khan grabbed Oshana's hand and kissed it on winning the million-dollar prize. Khan then handed him a $100 bill out of gratitude, apologizing that he didn't have more money on him, Oshana said.
"Take this $100 and I promise I'll make you happy (later)," Oshana recalled Khan telling him. "He was jumping up and down ... by his car."
Khan decided to take the winnings in a lump sum — a little more than $600,000, reduced to $424,449.60 after taxes, according to Michael Lang, a spokesman for the Illinois Lottery.
A check for that amount was issued July 19, a day before Khan's death, Lang said. But Khan never got to see the check.
Khan's unexpected passing stunned friends.
"I couldn't believe it ... on the first day of Ramadan," said a teary-eyed Udayshree Reddy, a tenant in one of Khan's West Rogers Park condos. "The day before he was very good."
Cina, the medical examiner, said each death is handled on a case-by-case basis, but no autopsy was performed on Khan because his death didn't appear suspicious and he was older than 45, the age at which the office didn't do automatic autopsies without some evidence of foul play.
The forensic pathologist who handled the case checked the body from head to toe and found no signs of trauma, Cina said. She also took a sample of Khan's blood — a standard practice at the office for any death — and checked for carbon monoxide, opiates and alcohol. The results came back negative. As a result, the office ruled that Khan had died of natural causes: hardening of the arteries.
Within a week, that finding was turned on its head when the undisclosed relative came forward with concerns and asked for additional testing.
"If a family member has a concern that seems valid, we take those seriously," Cina said in the interview at his Near West Side office. "We can't (ordinarily) look for every toxin under the sun like a CSI episode."
Since then, Cina, who took over as medical examiner last summer, said the office has adjusted its rules by raising the age to about 50 and younger for automatic autopsies. "And I like to see a little bit more medical history," he said.
With the suspicion over Khan's death, the case was reopened and comprehensive toxicology tests were done at the medical examiner's laboratory.
The preliminary results in September showed cyanide in Khan's system but not if it was at lethal levels. The office held off on changing Khan's manner of death but contacted Chicago police about the findings.
By early December, the final results showed Khan had enough cyanide in his blood to kill him. The office changed its ruling on the death to homicide.
Now it is consulting with police and prosecutors on exhuming Khan's body to try to gather more evidence from an autopsy about how he died.
(Click to display full-size in gallery)Urooj Khan won $1 million in the Illinois lottery just weeks before he died suddenly of a heart attack in his West Rogers Park home last summer. Now, months after his death, Chicago police were conducting a homicide investigation after it was discovered that he had been poisoned.
Related Links
Chicago Tribune, Lottery Post Staff
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Get MONEY!!! Winning a JACKPOT lottery is one MIRACLE I desire for 2019!!! NOW come to my subconscious mind you 6 winning numbers!
Sad... May he rest in peace
I turn my phone OFF when I go to bed at night.
The clerk did it........................
i don't think its clue
I think giving the clerk money could be the source of "the curse" here, NOT the lottery ticket.
ok thanks
Why did he blab his big mouth about his "vow" and then scratch the ticket in the store??
Working in a dry cleaning buisness the police may need to investigate wether he was around a clothing fire before death occured. Smoldering or burning of certain types of clothing material gives off hydrogen cyanide which could be fatal.
Numbers are where you find them.
[0*1*2*3*4] [5*6*7*8*9]
Why would it matter where he yelled it??? If you are of no blood relation you're not going to get anything......It had to be someone close but his wife was gonna get some cash anyways.....I mean it's only a million dollars and it was consideraby less after taxes.....
Winning the lottery & getting poisoned is the stuff of Hollywood.
even if you are blood relation you aren't going to get anything. At least that's how I feel.
, JAP69, or it could be some other more residual chemicals via his businesses. Just a strange timing death. RIP Urooj.
Anyhow, it took an incredibly long time, 59 days, for Illinois Lottery Headquarters office to cut his check!!!
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Great... another variant pilot that I have to buy a vehicle to get.
Interesting. I thought the stripes on the helmet made it the EU pilot, and that the Evolutions one was going to be a straight OT pilot. Matt, if they're the same I won't have one, but if they end up being even slightly different, I'll let you know.
What's with the grey stripes on the TIE pilots helmet? Is that supposed to be a unit designation? I had always thought that they were just light coming in from the top windows, but I looked at the screenshot closer and now they do actually look like stripes to me.
I always thought it was a light thing until I got an HDTV.
If you're talking about the grey "tear" stripes coming from the pilots helmet eyes, those denote that that specific TIE pilot is an ACE pilot. Meaning at least 3 kills as a pilot.
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Only four speakers, out of 21 altogether, at Facebook's developers conference, f8, are women, according to reports.
The one-day conference on April 30 is supposed to bring Facebook developers and tech leaders together in San Francisco, but the only women speaking are all from Facebook: developer advocate Bear Douglas and product managers Stephanie Shum, Allison Swope and Sharon Zeng, according to the Huffington Post.
Other speakers include executives from Instagram and Parse, who will also have sessions on monetization, app building and other interests. It should be said that the four female speakers is an improvement on the first conference in 2011 which had only one female speaker out of 15.
There's a lack of female leadership and representation in Silicon Valley, and some of that may have to do with fewer women in engineering or the "brogrammer" culture that can be found in Silicon Valley these days -- the idea that female engineers aren't as competent and/or they can be seen as conquests, or hopeful conquests, in the tech industry. Some say there's also a very masculine vibe that doesn't make it inclusive for women and many leave the business.